ArticleFrontiers in oncology2022
Poor health literacy associated with stronger perceived barriers to breast cancer screening and overestimated breast cancer risk.
Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evaluating digital nudge interventions for the promotion of cancer screening behavior: a systematic review and meta-analysis.BMC medicine · 2025Pooled it
- "For and against" factors influencing participation in personalized breast cancer screening programs: a qualitative systematic review until March 2022.Archives of public health = Archives belges de sante publique · 2024Pooled it
- Building health-literate artificial intelligence.Nature human behaviour · 2026Review
- Referral delays in metastatic breast cancer care: barriers and facilitators across a fragmented pathway.BMJ open quality · 2026Article
- Cultural Beliefs and Perceptions of Breast Cancer Among Adolescent Girls in Semi-Urban Bangladesh: A School-Based Cross-Sectional Study.Public health challenges · 2026Article
- Cultural adaptation of Educate, Nurture, Advise, Before Life Ends (ENABLE) for patients with heart failure and their caregivers in South-East Asia - a qualitative formative evaluation study.BMC palliative care · 2026Article
- Determinants of Breast Cancer Screening Uptake Among Women in Northern Iran: A Cross-Sectional Analysis of Health Beliefs and Health Literacy.Health science reports · 2026Article
- Developing and Validating a Breast Cancer Screening Health Literacy Questionnaire Guided by Sørensen's Integrated Model for Malaysian Adults.The Malaysian journal of medical sciences : MJMS · 2026Article
- Low follow-up rate after positive prostate cancer screening in southern China: a community-based cross-sectional survey with a prospective component.Frontiers in public health · 2026Article
- Tobacco use and perceived risk of lung cancer in a safety-net population.Research square · 2025Article
- Breast Cancer Family History and Behavioral Health Intentions: An Esteem-Relevant Mechanism Informed by the Terror Management Health Model.Current oncology (Toronto, Ont.) · 2025Article
- Determinants of Health-Promoting Behaviors Among Indonesian Adolescents Living in Child Welfare Institutions: Cross-Sectional Survey Study.JMIR public health and surveillance · 2025Article
- Impact of Unmet Social Needs on Access to Breast Cancer Screening and Treatment: An Analysis of Barriers Faced by Patients in a Breast Cancer Navigation Program.Annals of surgical oncology · 2025Article
- The Relationship Between the Health Literacy Levels of Women of Reproductive Age and Their Level of Knowledge About Cancer Screenings.Journal of evaluation in clinical practice · 2025Article
- Relationship between health literacy, health fatalism and attitudes towards cancer screenings: latent profile analysis.BMC public health · 2025Article
- Assessing the Effect of a Mobile Application on Cancer Risk Health Literacy: A Cross-Sectional Study Design.Applied clinical informatics · 2025Article
- Body Weight and Breast Cancer Treatment Experiences: Results From the Share Thoughts on a Breast Cancer Study.Cancer medicine · 2025Article
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- Developing a Multiprofessional Mobile App to Enhance Health Habits in Older Adults: User-Centered Approach.JMIR formative research · 2024Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Low health literacy (HL) is negatively associated with mammography screening uptake. However, evidence of the links between poor HL and low mammography screening participation is scarce. Methods: We conducted a cross-sectional questionnaire survey among participants of a cancer screening program. We measured HL using a validated Chinese instrument. We assessed breast cancer screening-related beliefs using the Health Belief Model and the accuracy of risk perception. We used multivariable regression models to estimate the relationship between HL and the outcomes. Results: A total of 821 females were included. 264 (32.2%) had excellent or sufficient, 353 (43.0%) had problematic, and 204 (24.8%) had inadequate health literacy (IHL). Women with IHL were more likely to agree that high price (β = -0.211, 95% CI -0.354 to -0.069), lack of time (β = -0.219, 95% CI -0.351 to -0.088), inconvenient service time (β = -0.291, 95% CI -0.421 to -0.160), long waiting time (β = -0.305, 95% CI -0.447 to -0.164), fear of positive results (β = -0.200, 95% CI -0.342 to -0.058), embarrassment (β = -0.225, 95% CI -0.364 to -0.086), fear of pain (β = -0.154, 95% CI -0.298 to -0.010), fear of radiation (β = -0.177, 95% CI -0.298 to -0.056), lack of knowledge on service location (β = -0.475, 95% CI -0.615 to -0.335), and lack of knowledge on mammography (β = -0.360, 95% CI -0.492 to -0.228) were barriers. They were also less likely to have an accurate breast cancer risk perception (aOR 0.572, 95% CI 0.341 to 0.956). Conclusion: Women with lower HL could have stronger perceived barriers to BC screening and an over-estimation of their breast cancer risk. Tackling emotional and knowledge barriers, financial and logistical assistance, and guidance on risk perception are needed to increase their breast cancer screening uptake.
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